John E. Jenrette, MD, Chairman of the Board of the California Association of Physician Groups and CEO of Sharp Community Medical Group writes in CAPG Health, on ACOs and the Third National ACO Congress in Los Angeles.  Check out page 21.

Payment reform is the movement away from paying for volume to paying for value, i.e., transitioning from the traditional fee-for-service payment model to global payments, bundled payment mechanisms or increasing upside and downside risk on shared saving programs.  . . . the overall consensus among the Congress conveners was that “the train has left the station.”  There is no doubt that we are heading down the track toward drastic changes in our healthcare delivery system….

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